Templates and forms

[Pages:28]Templates and forms

Additional mentoring program resources

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Templates and samples

In this section, you will find the materials your mentoring program will need: Mentee Application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Mentor Application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Confidentiality Agreement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Mentoring Agreement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Mentee Action Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Mentoring Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Mentoring Program Mid-Point Review--Mentor Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Mentoring Program Mid-Point Review--Mentee Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Mentoring Program Final Review--Mentor Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Mentoring Program Final Review--Mentee Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Mentor benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Mentor roles and responsibilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Ideas to assist your mentee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Effective questioning tips for mentors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Giving feedback--checklist for mentors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Tips for being a good listener . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Mentee benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Mentee roles and responsibilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Receiving feedback--checklist for mentees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

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Mentee Application

Mentoring is a special partnership between two people based on commitment to the mentoring process, common goals/expectations of the partnership, and mutual trust and respect. Mentoring is a "get and give" experience with the goal of providing a rich and rewarding experience for both partners. We ask you to share your information so the program manager can match you in a mentoring relationship. Both you and your recommended mentor will have the opportunity to agree to the pairing before you are assigned to work together.

Please submit your application to [insert program manager name and contact info] no later than [insert time and date].

Name/title/grade:___________________________________________________________________________ Work unit:_________________________________________________________________________________ Work phone number: ________________________________________________________________________ Work email address:_________________________________________________________________________

Please respond to the information requested below. 1. List the series of positions and grades you have held: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ 2. Why do you want to work with a mentor? ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

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3. Describe your strongest competencies (i.e., knowledge, skills, and abilities): ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

4. Describe the competencies you would like to strengthen and/or leverage through working with a mentor: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

5. What are your interests or hobbies outside of work? ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

6. Do you have someone in mind whom you would like to suggest as your mentor? If yes, list his or her name (we suggest selecting someone two grade levels above your current grade/organization): ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ The program manager will confirm your requested mentor as a suitable match, his or her availability and interest in participating in the mentoring program, and OHR management approval of the pairing. However, please note that there are no guarantees you will be paired with this individual.

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Mentor Application

Mentoring is a special partnership between two people based on commitment to the mentoring process, common goals/expectations of the partnership, and mutual trust and respect. Mentoring is a "get and give" experience with the goal of providing a rich and rewarding experience for both partners. We ask you to share your information so the program manager can match you in a mentoring relationship. Both you and your recommended mentee will have the opportunity to agree to the pairing before you are assigned to work together. Please submit your application to [insert program manager name and contact info] no later than [insert time and date].

Name/title/grade:___________________________________________________________________________ Organization/division:_______________________________________________________________________ Work phone number: ________________________________________________________________________ Work email address:_________________________________________________________________________ # of mentees you would like to mentor:__________________________________________________________

Please respond to the information requested below. 1. Why do you want to be a mentor? ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ 2. List the series of positions and grades you have held: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

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3. Describe what you consider to be your strongest general competencies (i.e., knowledge, skills, and abilities): ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

4. Describe what you consider to be your strongest technical competencies: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

5. What do you think a mentee can learn from you? ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

6. What are your interests or hobbies outside of work? ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

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Confidentiality Agreement

Trust must be a verb before it is a noun. You must trust and be trustworthy to be trusted. It is one of the most, if not the most, important factors in the partnership. Mentoring pairs will share information about one another throughout the association. Partners must be very clear on the limits they want to place on the information shared. Establishing clear boundaries is a big step toward building trust. Here are a couple of statements to start your agreement. You may accept these as they are, build upon them, or establish a completely new agreement. The important thing is that both partners concur with the Confidentiality Agreement.

1. What we discuss will stay between the two of us. [use the space below to add to this] ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

2. What we discuss will stay between the two of us, unless we give each other permission or ask that the information be shared with others. [use the space below to add to this] ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

3. Add other additional conditions you both mutually agree to. ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

_________________________________________________________________________________________ Mentor signaturedate _________________________________________________________________________________________ Mentee signaturedate

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Mentoring Agreement

Mentoring is a "get and give" experience with the goal of providing a rich and rewarding experience for both partners. Both partners must be respectful of each other's time and commitments. We have created the following form to assist you in developing a schedule for your meetings. Please print information and sign below. Each partner is to keep a copy, and one is to be turned in to the program manager.

Mentor:___________________________________________________________________________________ Mentee:___________________________________________________________________________________ Meeting time (i.e. 10 a.m., 2:30 p.m., etc):_________________________________________________________ Preferred meeting day: _______________________________________________________________________ Frequency of meetings (i.e., once a week, every other week):__________________________________________ We will generally meet for __________minutes. The best way to contact ___________________________, the mentor, is by ___________________________ or ___________________________ The best way to contact ___________________________, the mentee, is by ___________________________ or ___________________________ If unforeseen events arise and meeting time/day must be changed, we will give our mentoring partner at least ______ hour(s) notice if possible.

_________________________________________________________________________________________ Mentor signaturedate

_________________________________________________________________________________________ Mentee signaturedate

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